A Case of Watermelon Stomach ( Gastric Antral Vascular Ectasia ).
- Author:
Seong Won CHO
1
;
Soo Heon PARK
;
Bo Kyoung KIM
;
Yong Hyun KIM
;
Yong Keun PARK
;
Jun Il PARK
;
Hwang CHOI
;
Jae Kwang KIM
;
Kyu Won CHUNG
;
Hee Sik SUN
Author Information
1. Department of Internal Medicine, Catholic University Medical College, Seoul, Korea.
- Publication Type:Case Report
- Keywords:
Watermelon stomach;
Gastric antral vascular ectasia;
Iron deficiency anemia
- MeSH:
Aged;
Anemia;
Anemia, Iron-Deficiency;
Biopsy;
Citrullus*;
Diagnosis;
Endoscopy;
Female;
Gastric Antral Vascular Ectasia*;
Gastritis;
Humans;
Iron;
Laser Therapy;
Pylorus;
Somatostatin;
Steroids;
Tranexamic Acid
- From:Korean Journal of Gastrointestinal Endoscopy
1998;18(1):81-85
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Watermelon stomach or gastric antral vascular ectasia is a rare disorder causing gastric blood loss and iron deficicncy anemia. Endoscopically, it has characteristic thickened red vascular folds radiating from the pylorus to the antrum. This condition is often mis- diagnosed as antral hemorrhagic gastritis. Diagnosis is made primarily by endoscopy. Histologic examination of the endoscopic mucosal biopsies may confirm the endoscopic diagnosis. Treatment for watermelon stomach includes steroids, estrogen-progesterone combinations, somatostatin antagonists, tranexamic acid, heater probe, and laser therapy. Herein we report a case of watermelon stomach presenting with general weakness and persistent iron deficiency anemia for about 2 years in a 70-year-old woman.